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Communicating About Health Current Issues and Perspectives

Summary

The leading text in its market, Communicating About Health: Current Issues and Perspectives, Third Edition, provides a more far-reaching approach than any other health communication text. Written by Athena du Pre - an experienced researcher and noted scholar - the book offers an excellentbalance of theory and practice; research and pedagogy; coverage of patient/caregiver issues; and material on the current, historical, and philosophical backgrounds of communication in health care. Now in its third edition, this highly engaging text is more accessible than ever to students. It integrates many more real-life examples and case studies and also builds upon the previous editions' coverage of diversity, featuring new material on cultures and health systems within the U.S. andabroad. A brand-new chapter, "Public Health Crises and Health Care Reform" (Chapter 12), addresses timely concerns about modern health care. In addition, the third edition incorporates enhanced pedagogical features and new supplemental resources, including: * Career Opportunity boxes showcasing more than one hundred careers related to health communication and links to job listings and further information * Can You Guess? boxes challenging students to consider such questions as "Which state has the highest percentage of uninsured residents?" and "In which country do people have the longest life expectancy on earth?" * Instructor's Manual (available both in print and online at www.oup.com/us/dupre) featuring sample syllabi, test questions, class activities, and more An ideal combination of communication theory and practical advice, Communicating About Health, Third Edition, is designed for undergraduate and graduate courses in health communication, health promotions and campaigns, and public health. It is also an indispensable resource for readers looking toimprove their communication abilities in the health care field.

Author Biography

Athena du Pre is a Professor in the department of Communication Arts at the University of West Florida.

Table of Contents

Each Chapter ends with a Summary, Key Terms, Discussion Questions, and Answers to ""Can You Guess?"" boxes

Preface

Establishing A Context For Health Communication

Introduction

What is Health Communication?

Defining Communication

Process

Personal Goals

Interdependence

Sensitivity

Shared Meaning

Defining Health Communication

History of Health Communication

Medical Models

Biomedical Model

Biophysical Model

Importance of Health Communication

Emphasis on Efficiency

Prevention

Patient Empowerment

Global Health Needs and Intercultural Competence

Changing Populations

Technology

History and Current Issues

Medicine in Ancient Times

Imotep

Hippocrates

Medieval Religion and Health Care

Medical Spiritualism

Barber Surgeons

Science and Magic

End of an Era

Renaissance Philosophy and Health Care

Principle of Verification

Cartesian Dualism

Health Care in the New World

Health Conditions

Hippocrates' Influence

Women's Role

The Rise of Orthodox Medicine

Population Shifts

Germ Theory

Research and Technology

Campaign of Orthodox Medicine

Flexner Report

Decline of Sectarian Medicine

Twentieth Century Health Care

Specialization

Medicine and Free Enterprise

Putting the Brakes on Health Care Costs

Health and Wealth

Problems

Reform Efforts

Managed Care

Conventional Insurance

Health Maintenance Organization (HMO)

Preferred Provider Organization (PPO)

Point of Service (POS)

High Deductible Health Plan (HDHP)

Organizations' Perspective

Advantages

Incentive to Collaborate and Conserve

Affordability Goal

Wellness

Administrative Assistance

Patient Load

Disadvantages

Costs Still Prohibitive

Prevention Expectations Unrealized

Undertreatment

Restricted Options

Confidentiality at Risk

Bureaucratic Hassles

Managed Care Around the World

The Roles Of Patients And Caregivers

Patient-Caregiver Communication

Physician-Centered Communication

Assertive Behavior

Questions and Directives

Blocking

Patronizing Behavior

Power Difference

Criticism of Clinician-Centeredness

Collaborative Communication

Climate for Change

Motivational Interviewing

Communication Skill Builders: Cultivating Dialogue

Nonverbal Encouragement

Verbal Encouragement

Environmental Restructuring

Soothing Surroundings

Easy Communication with Loved Ones

Communication Technology: Telemedicine

A Doctor's Visit Telemedicine Style

Telemedicine in the Future

Telemedicine as Medical Outsourcing

Advantages to Consumers

Advantages for Caregivers

Disadvantages

Communication Skill Builders: Tips for Patients

Caregiver Perspective

Medical Socialization

Theory of Socialization

Selection

Curriculum

Science

Communication Training

Socialization Process

Loss of Identity

Privileged Status

Overwhelming Responsibilities

Withdrawal and Resentment

Effects of Socialization

Medical School Reform

Implications

Professional Influences on Caregivers

Time Constraints

Loss of Autonomy

Psychological Influences on Caregivers

Maturity

Self-Doubt

Satisfaction

Stress and Burnout

Causes

Emotions

Communication Deficits

Work Load

Other Factors

Effects

Healthy Strategies

Medical Mistakes

Why Mistakes Happen

What Happens After a Mistake?

Communication Skill Builder: Managing Medical Mistakes

From the Beginning

If an Error Does Occur

Communication Technology: Knowledge Coupling

Patient Perspective

Patient Socialization

Voice of Lifeworld

Feelings vs. Evidence

Specific vs. Diffuse

Patient Characteristics

Nature of the Illness

Patient Disposition

Communication Skills

Satisfaction

Attentiveness and Respect

Convenience

A Sense of Control

Genuine Warmth and Honesty

Cooperation and Consent

Reasons for Nonadherence

Caregivers' Investment

Informed Consent

Illness and Personal Identity

Reactions to Illness

Narratives

Diversity Among Patients

Status Differences

Misunderstandings

Health Literacy

Communication Skill Builders: Surmounting Status Barriers

Gender Differences

Sexual Orientation

Race

Different Care and Outcome

Explanations

Distrust

High Risk, Low Knowledge

Access

Patient-Caregiver Communication

Language Differences

Disabilities

Communication Skill Builders: Interacting with Persons Who Have Disabilities